2024 Evidence of Coverage for UnitedHealthcare® Group Medicare Advantage PEBB Balance (PPO) Chapter 2: Important phone numbers and resources 16 Method Complaints about Part D Prescription Drugs – Contact Information 1-866-308-6296 Write UnitedHealthcare Part D Appeal and Grievance Department P.O. Box 6106, MS CA124-0197, Cypress, CA 90630-0016 Medicare You can submit a complaint about UnitedHealthcare® Group Medicare Website Advantage PEBB Balance (PPO) directly to Medicare. To submit an online complaint to Medicare, go to medicare.gov/MedicareComplaintForm/ home.aspx. Where to send a request asking us to pay for our share of the cost for medical care or a drug you have received. If you have received a bill or paid for services (such as a provider bill) that you think we should pay for, you may need to ask us for reimbursement or to pay the provider bill. See Chapter 7 (Asking us to pay our share of a bill you have received for covered medical services or drugs). Please note: If you send us a payment request and we deny any part of your request, you can appeal our decision. See Chapter 9 (What to do if you have a problem or complaint (coverage decisions, appeals, complaints)) for more information. Method Payment Requests – Contact Information Call 1-855-873-3268 Calls to this number are free. Hours of Operation: 8 a.m.-8 p.m. local time, Monday-Friday TTY 711 Calls to this number are free. Hours of Operation: 8 a.m.-8 p.m. local time, Monday-Friday Write Medical claims payment requests: UnitedHealthcare P.O. Box 30995, Salt Lake City, UT 84130-0995 Part D prescription drug payment requests: OptumRx P.O. Box 650287, Dallas, TX 75265-0287 Website retiree.uhc.com/wapebb